HomeMy WebLinkAbout1978-08-01 Permit, Water Meter #5262City Nrmit?v? 5262
Contractor LLkELee1 KA f um6t.►iile Address A4 0 AJ M #/
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Owner DA,l a C s Address L—
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State License No.
Parcel No.
City License No.
GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
473-7357 / Q
Date o
Section No. Lot Block Subdivision
Plat No.
Other Description:
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used,
shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed
below.
PAC -TEL # 2 G F.3 1 -9 SQ
RIC�r►.4E $ 15`52 17
Water Meter: Fee S ba,
00
Sewer Hookup: (City) Fee f
Install Plumbing Systems: Fee $
Install Sewage Disposal Systems: Fec S S" urc f appli •ant
00
Install Water Hookup: (City) Fee f Q.O.
Install Water Supply Systems: (Well) Fee S
SAC Fee S Signatur• of('ity Offic
l__�J- M9.0
State Surtax: I ce S _ , SD -70 C4%Ax
Total Amount Paid to City .. . .... . Fee S gn, SV
Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt